코골이와 수면무호흡증 환자의 임상적 특징과 치료계획
Clinical characteristics and treatment plan for patients with snoring and obstructive sleep apnea
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Snoring and obstructive sleep apnea are the representative sleep disordered breathings, caused by the temporary and repetitive constriction or obstruction of upper airway during sleep. They present with excessively vibratory noise and repetitive cease of respiration. These disorders commonly result in sleep disturbance and the subsequent daytime sleepiness, chronic fatigue. Furthermore, they can cause the serious and extensive complications including increased risk of hypertension, cardiac arrhythmia, cardiovascular disease, cerebrovascular accident, neurocognitive disturbance, traffic and occupational accidents, type II diabetes, childhood growth interruption, awakening headache and finally, relatively increased mortality rate. Because appropriate therapeutic intervention is best way for patients to relieve their symptoms and prevent their possible complications, it is very important for dentists to recognize their own role and responsibility in diagnosis and treatment of these disorders. For this, the present article provides the understanding of the clinical features, possible complications, various treatment modalities, and suitable treatment strategies for snoring and obstructive sleep apnea.
Abstract
Snoring and obstructive sleep apnea are the representative sleep disordered breathings, caused by the temporary and repetitive constriction or obstruction of upper airway during sleep. They present with excessively vibratory noise and repetitive cease of respiration. These disorders commonly result in sleep disturbance and the subsequent daytime sleepiness, chronic fatigue. Furthermore, they can cause the serious and extensive complications including increased risk of hypertension, cardiac arrhythmia, cardiovascular disease, cerebrovascular accident, neurocognitive disturbance, traffic and occupational accidents, type II diabetes, childhood growth interruption, awakening headache and finally, relatively increased mortality rate. Because appropriate therapeutic intervention is best way for patients to relieve their symptoms and prevent their possible complications, it is very important for dentists to recognize their own role and responsibility in diagnosis and treatment of these disorders. For this, the present article provides the understanding of the clinical features, possible complications, various treatment modalities, and suitable treatment strategies for snoring and obstructive sleep apnea.
참고문헌 (36)
- 대한안면통증 구강내과학회, "구강내과학 제4편 구강안면통증과 측두하악장애, Part V 수면호흡장애, 제 21~23장", pp.381~424 (2012), (주)예낭아이앤씨
- Schlosshan D, "Sleep. 3: Clinical presentation and diagnosis of the obstructive sleep apnoea hypopnoea syndrome", Thorax, 59, pp.347~352 (2004)
- Harding SM, "Complications and consequences of obstructive sleep apnea", Curr Opin Pulm Med, 6, pp.485~489 (2000)
- Jean-Louis G, "Obstructive sleep apnea and cardiovascular disease : Role of the metabolic syndrome and its components", J Clin Sleep Med, 4, pp.261~272 (2008)
- Teran-Santos J, "cooperative group burgos-santander", N Engl J Med, 340, pp.847~851 (1999)
- Wu H, "Self-reported automobile accidents involving patients with obstructive sleep apnea", Neurology, 46, pp.1254~1257 (1996)
- Lindberg E, "Role of snoring and daytime sleepiness in occupational accidents", Am J Respir Crit Care Med, 164, pp.2031~2035 (2001)
- Lal C, "Neurocognitive impairment in obstructive sleep apnea", Chest, 141, pp.1601~1610 (2012)
- Sedky K, "Attention deficit hyperactivity disorder and sleep disordered breathing in pediatric populations : A meta-analysis", Sleep Med Rev, 18, pp.349~356 (2014)
- Brockmann PE, "Primary snoring in school children : Prevalence and neurocognitive impairments", Sleep Breath, 16, pp.23~29 (2012)
- Grote L, "Sleep-related breathing disorder is an independent risk factor for systemic hypertension", Am J Respir Crit Care Med, 160, pp.1875~1882 (1999)
- Hu FB, "Snoring and risk of cardiovascular disease in women", J Am Coll Cardiol, 35, pp.308~313 (2000)
- Bassetti C, "Sleep apnea in acute cerebrovascular diseases : Final report on 128patients", Sleep, 22, pp.217~223 (1999)
- Nishibayashi M, "Correlation between severity of obstructive sleep apnea and prevalence of silent cerebrovascular lesions", J Clin Sleep Med, 4, pp.242~247 (2008)
- Loh NK, "Do patients with obstructive sleep apnea wake up with headaches?", Arch Intern Med, 159, pp.1765~1768 (1999)
- Franklin KA, "Snoring, pregnancyinduced hypertension, and growth retardation of the fetus", Chest, 117, pp.137~141 (2000)
- Dasheiff RM, "Clinical foundation for efficient treatment of obstructive sleep apnea", 67, pp.2171~2182 (2009)
- Young T, "Sleep disordered breathing and mortality : Eighteen-year follow-up of the wisconsin sleep cohort", Sleep, 31, pp.1071~1078 (2008)
- Anandam A, "Cardiovascular mortality in obstructive sleep apnoea treated with continuous positive airway pressure or oral appliance : An observational study", Respirology, 18, pp.1184~1190 (2013)
- Jones JA, "Target outcomes for long-term oral health care in dementia : A delphi approach", J Public Health Dent, 60, pp.330~334 (2000)
- Punjabi NM, "The epidemiology of adult obstructive sleep apnea", Proc Am Thorac Soc, 5, pp.136~143 (2008)
- Young T, "The occurrence of sleep-disordered breathing among middle-aged adults", N Engl J Med, 328, pp.1230~1235 (1993)
- Young T, "Predictors of sleep-disordered breathing in community-dwelling adults : The sleep heart health study", Arch Intern Med, 162, pp.893~900 (2002)
- Saaresranta T, "Sleep-disordered breathing and hormones", Eur Respir J, 22, pp.161~172 (2003)
- Venkata C, "Sleep-disordered breathing during pregnancy", J Am Board Fam Med, 22, pp.158~168 (2009)
- 정유삼, "폐쇄성 수면무호흡증의 진단", Hanyang Medical Reviews, 33(4), pp.227~232 (2013), 한양대학교 의과대학[DOI]
- 장선정, "Obstructive sleep apnea syndrome in children: Epidemiology, pathophysiology, diagnosis and sequelae", Korean Journal of Pediatrics, 53(10), pp.863~871 (2010), 대한소아과학회
- Nuckton TJ, "Physical examination : Mallampati score as an independent predictor of obstructive sleep apnea", Sleep, 29, pp.903~908 (2006)
- Martin SE, "The effect of age, sex, obesity and posture on upper airway size.", Eur Respir J, 10, pp.2087~2090 (1997)
- Georgalas C, "The role of the nose in snoring and obstructive sleep apnoea : An update", Eur Arch Otorhinolaryngol, 268, pp.1365~1373 (2011)
- Pevernagie DA, "Sleep, breathing and the nose", Sleep Med Rev, 9, pp.437~451 (2005)
- Peppard PE, "Longitudinal study of moderate weight change and sleep-disordered breathing", JAMA, 284, pp.3015~3021 (2000)
- Dixon JB, "Surgical vs conventional therapy for weight loss treatment of obstructive sleep apnea : A randomized controlled trial", JAMA, 308, pp.1142~1149 (2012)
- Randerath WJ, "Non-CPAP therapies in obstructive sleep apnoea", Eur Respir J, 37, pp.1000~1028 (2011)
- Walker-Engstrom ML, "4-year follow-up of treatment with dental appliance or uvulopalatopharyngoplasty in patients with obstructive sleep apnea : A randomized study", Chest, 121, pp.739~746 (2002)
- Epstein LJ, "management and long-term care of obstructive sleep apnea in adults", J Clin Sleep Med, 5, pp.263~276 (2009)